We take the frustration out of your certificate of insurance requests by attentive and timely processing.

This is a non-bindable quote indication request that is subject to further underwriting information, review, and acceptability.

This is for a “Mortgage Field Inspection Services / Property Preservation” quote indication request.

Quote indications will represent:

• General Liability limits of $1,000,000 occurrence $2,000,000 aggregate.  
• Errors and Omissions limits of $1,000,000 occurrence $2,000,000 aggregate. 
• Blanket Additional Insured (including primary and non-contributory and limited waiver) – Included *up to 10 additional insureds with unlimited additional certificates available.
• Additional coverages are available and not limited to:
  • Employee Benefits Liability.
  • Stop Gap in WA, OH, ND, WY.
  • Increased Assault and Battery limits.
  • Increased number of additional insured.
  • Prior acts, and more.
    

Available in all states except Alaska.

Business Name *

Contact Name *

Contact Email address *

Mailing Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Business Physical address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Contact Phone Number *

Date business started *

Estimated effective date *

Is your quote request for: *Mortgage Field Inspection Services*Property Preservation***Mortgage Field Inspectors inspect distressed properties by performing a visual inspection. No ongoing management, maintenance, or preservation services performed.
**Property Preservation Services include field inspection, maintenance / repair work, winterization, boarding windows, changing locks, landscaping care, trash outs on bank owned properties.

Estimated 12-month gross receipts *

Any subcontracted costs? *YesNo

Estimated subcontracted costs for next 12 months *

States work is performed in *

Number of employees *

Is work done with firearms for protection? *YesNo

Percentage of operations to equal 100 percent:

Boarding windows:

Eviction Posting:

Exterior Debris removal:

Exterior Repair:

Interior Debris:

Interior Repair:

Landscape Maintenance:

Lock changes:

Winterization:

Inspections:

Other:

Total %

Total percentage of operations must be equal to 100%

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